Organization Active NPI

Jewish Community Services, Inc.

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1104077338
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21230 Issued in MD
Legal business name
JEWISH COMMUNITY SERVICES, INC.
Practice address
5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone
(410) 843-7390
Fax
(410) 664-0115
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abby Appelbaum
Title
Client Information Services, Superv
Phone
(410) 843-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 21230 MD Primary

Addresses

Primary practice location

5750 Park Heights Ave
Baltimore, MD 21215-3930

Mailing address

5750 Park Heights Ave
Baltimore, MD 21215-3930
Phone (410) 843-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000183 MD Part B Supplier - Clinic/Group Practice 0345141362 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Owings Mills, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5750 Park Heights Ave
Baltimore, MD 21215
Phone (410) 466-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1104077338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153930",
            "telephone_number": "410-843-7390",
            "fax_number": "410-664-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153930",
            "telephone_number": "410-843-7390",
            "fax_number": "410-664-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "APPELBAUM",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "CLIENT INFORMATION SERVICES, SUPERV",
        "authorized_official_telephone_number": "410-843-7390"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.